By Datuk Dr Joseph Lee
Former Emergency Medical Surgical Doctor Queen Elizabeth Hospital Kota Kinabalu Sabah
Visiting Lecturer, Medical School
Life Member Malaysian Medical Association
Policy Advisor
January 2025
Politics is often romanticized as a noble calling, a platform to influence change and serve society. But behind the speeches, campaigns, and public appearances lies a career that demands immense emotional and mental fortitude. Politics, much like working in an emergency department as a medical doctor, involves dealing with people at their most vulnerable. The stakes are high, the scrutiny relentless, and the toll on mental and physical health significant.
The Mental Health Toll of a Political Career
Politics is not for the faint of heart. The constant stress, scrutiny, and decision-making can lead to a variety of mental health challenges. Here are some common issues faced by politicians:
1.Insomnia and Sleep Disorders
Many politicians report difficulty sleeping due to the relentless pressures of their role. Whether it’s late-night meetings or the constant worry of public perception, sleep deprivation becomes a chronic issue.
2.Stress-Induced Hormonal Imbalances
Female politicians, in particular, often report irregular menstrual cycles due to the effects of stress on their hormonal balance. Stress disrupts the delicate interplay of hormones, leading to physical and emotional strain.
3.Obsessive-Compulsive Behaviors
The constant demand to appear perfect in front of the public can result in obsessive-compulsive tendencies. Politicians may feel an overwhelming need to control their image and behavior to maintain their public reputation.
4.Panic and Anxiety Disorders
Continuous criticism, scrutiny, and public expectations can trigger panic attacks or chronic anxiety. These conditions often require professional intervention and, in some cases, medication.
5.Hypertension and Diabetes
Chronic stress not only impacts mental health but also physical well-being. Stress hormones such as cortisol contribute to conditions like high blood pressure and diabetes, especially when combined with an unhealthy lifestyle.
6.Substance Abuse and Liver Diseases
To cope with stress, some politicians turn to alcohol or other substances, leading to conditions like alcoholic liver disease. The pressures of leadership can push individuals to seek unhealthy coping mechanisms.
Leadership Requires Preparation
Leadership in politics is not a role to be taken lightly. It requires preparation, experience, and a strong support system. Unlike some careers, political leadership thrusts individuals into the public eye, exposing them to constant evaluation, criticism, and pressure to perform. Not everyone is equipped to thrive in such an environment, and that’s okay.
It’s crucial to recognize that leadership cannot be imposed on someone simply because they seem like a good fit. True leadership arises from a combination of personal readiness, resilience, and the ability to cope with stress constructively.
Is It Worth the Cost?
The question aspiring politicians must ask themselves is whether the rewards of a political career outweigh the risks to their mental and physical health. Politics can be fulfilling, but it can also be destructive for those unprepared for the demands it entails.
A Call to Aspiring Politicians
If you’re considering a career in politics, take time to evaluate yourself. Are you prepared for the mental and physical challenges? Are you equipped with coping mechanisms to deal with stress, criticism, and public scrutiny?
This is not to discourage you, but to remind you that preparation is key. As in medicine, where emergency doctors must undergo rigorous training to handle life-and-death situations, aspiring politicians must develop the mental resilience and emotional intelligence to navigate the complexities of leadership.
Practical Advice for Aspiring Leaders
1.Seek Professional Support: Regularly consult a therapist or counselor to manage stress and develop coping strategies.
2.Build a Support Network: Surround yourself with trusted friends, family, and colleagues who can offer emotional support and honest advice.
3.Prioritize Self-Care: Adopt a healthy lifestyle, including regular exercise, proper nutrition, and adequate sleep.
4.Learn Stress Management: Explore techniques such as mindfulness, meditation, and time management to reduce stress levels.
5.Understand Your Limits: Recognize when you need to step back and take a break. Leadership is a marathon, not a sprint.
Conclusion
Leadership, especially in politics, is a demanding and stressful endeavor. It requires resilience, preparation, and self-awareness. While the desire to serve and lead is commendable, it is essential to approach politics with a clear understanding of the mental and physical challenges involved. For those who choose this path, taking proactive steps to safeguard your well-being will ensure that you not only survive but thrive in the high-pressure world of politics.
Dr Joseph Lee 